Impact of SHC

On the Center’s multi-phasic identities and development over time

Irwin Venick, Joe Little, and Bob Hartmann reflect on the birth and growth of the Center for Health Services (CHS) over time, tracing its stages of development from its initial Medical School partnership to its later social-science orientation and eventually, with Barbara Clinton as director in the late 1970s, to its relationship with the Nursing …

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On the role of institutional support in community-driven change

Bob Hartmann and Irwin Venick respond to Gillian’s question about how they would approach or encourage others to approach similar student and/or community-led projects today. Bob provides insight into what the Coalition did right and what it could have done better, concluding that there’s value in and need for both community and institutional support. Irwin …

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Competing visions and growing pains: on the Center’s origins

Irwin Venick expands on the competing visions between the SHC and the Center for Health Services (CHS), explaining that once the Center was established, Coalitioners faced the challenge of adjusting to a structure they hadn’t had to in previous installments of their work. As co-director at the time, Dick Couto faced considerable challenges. He sought …

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On the contrast between Coalition and Center approaches to healthcare in Appalachia

Margaret Ecker and Irwin Venick summarize the differences and ensuing conflict between the Coalition’s and the university’s motivations, priorities, and framework of their approach to healthcare in Appalachia. Irwin makes an important distinction between the Medical School’s focus on community medicine and public health and the SHC’s vehicle of community organizing that valued more grassroots, …

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Left to right: Marian Colette, Minnie Bommer, Tilda Kemplen, Linda Stein, Mary Elliott; Barbara Clinton, Project Director and daughter Greta in front

The role and impact of MIHOW outreach workers

Barbara Clinton frames the Maternal-Infant Health Outreach Worker Project (MIHOW) as a sustainability-driven next step to the care and relationships initiated by Coalition health fairs. She delineates the role outreach workers filled and the immense impact local women had on promoting pregnancy support and prenatal care in rural areas. See the full length video of this …

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Criteria for and selection process of outreach workers with MIHOW project

Barbara Clinton explains how partnerships between local community health clinics and the Center for Health Services (CHS) facilitated the development of the Maternal-Infant Health Outreach Worker Project (MIHOW). It was up to the community-run clinics to outline criteria for and elect outreach workers for the Center’s program. See the full length video of this road trip conversation …

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Barbara Clinton 1988

On the funds acquisition for community-inspired MIHOW project

Barbara Clinton shares how the Center for Health Services (CHS) acquired funding for the Maternal-Infant Health Outreach Worker Project (MIHOW), an effort initiated by Dick Couto’s ongoing attempts to convince the Ford Foundation to invest in Appalachia. She also names additional funding sources for the program which expanded MIHOW’s operations to other states once the …

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MPHC: rural health clinic or federally qualified community health center?

James Lovett, CEO of Mountain People’s Health Councils, Inc., recalls when and how he first discovered the differences between rural health clinics, community health centers, and the public health department, along with what it meant for MPHC to be a federally qualified health center (FQHC). See the full length interview to learn more.

ETRC’s lawsuit against Davidson County Health Department

John Williams shares ETRC’s successful lawsuit against the Health Department in Davidson County. The effort was collaborative alongside other environmental organizations, including Save Our Cumberland Mountains (SOCM), and initiated as a means to mandate the monitoring and enforcement of water pollution runoff from abandoned strip mines.   Full footage of the 2017 ETRC panel featuring …

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